Erectile Dysfunction in Immigrants
Mohamed Buwe Osman, MD
Physician & Artist
www.osmanart.net
Erectile Dysfunction

Coitus is an essential to mental well being and a primitive instinct that spans from birth to the end of senility. Sexual dysfunction is trivialized, underreported and a distressful human experience manifested by a myriad of symptomatology such as loss of libido, erection, maintainance of ewrction, orgasm and premature ejaculation.

Environmental stress may cause sexual dysfunction which  may in turn elicit mental derangement as shown in this painting.

The exagerated image of fruits as depicted here reflect the need and joy of eating as an essential human instinct like sexual desire and coitus.

In Somalia, africa, a vulgar expresssion like “ eating a Woman “ is an interchangeably applied expression to indicate a sexual act with a woman.

He has less time to enjoy with family.
His family finds him changed.
The culture of care and attention had melted.
His wife sees him a different man.
She suspects him having an affair.
He became hard to arouse.
He failed to have erection.
He feels distressed.
He feels angry at himself.
He feels guilty.
He has a physician.
He feels uneasy to talk about his sexual misery
The doctor feels also uneasy asking him about his sexual life.
He consults with his country mate.
He is given a non prescription remedy.
“Yahaas Engeg” was the name.
It stands for a dried, salted flesh of a shark.
It worked for ED back home in Africa.
Here in America it failed to work.
He consults with a friend at work.
He goes back to his physician.
He mentions this time about his ED
He is given a prescription of Viagra.
It worked.
He felt great. His distress evaporates.
His stress remains unchanged.
His ED remains chronic
He remains dependent on Viagra.
Viagra drains his pocket.
Is there a way out!

He is an African immigrant.
He is a naturalized American.
He lives in North America.
He is exposed to stress.
He is exposed to pollution
He is exposed to discrimination.
He is a slave to his work.
He works long hours
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